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  • Articles > Conditions & Disorders > Schizophrenia and Other Psychotic Disorders > Schizoaffective Disorder

    Schizoaffective disorder is a mental illness combining symptoms of a mood disorder, such as depressive or manic, in addition to psychotic symptoms including delusions or hallucinations. Both aspects of the illness require treatment. Because the illness shows signs of both areas of mental illness, it can be difficult to diagnose. Neither aspect of a mood disorder or schizophrenia fully explains the symptoms of the illness.

    A patient must show symptoms of both schizophrenia and a major mood disorder and have psychosis for at least two weeks without a mood disorder.
    The illness tends to occur in women more often than in men and affects women later in life than in men. Men with the disorder tend to have antisocial personality traits. When the illness occurs earlier in life, it tends to have the bipolar component, whereas later in life it tends to have the depressive component. Generally, the disease begins in early adulthood. Additional symptoms may include the person being unable to follow a moving object with his or her eyes, and an early onset of rapid eye movement during sleep. The exact cause of the illness is unknown. It may involve a chemical imbalance in the brain or could be the result of factors affecting in utero development.

    Treatment options vary depending on whether or not the patient is in a psychotic state. If this is the case, antipsychotic medications are used as antidepressants take a few weeks to start working. However, antidepressants are used to treat the mood disorder part of the disorder after the psychosis has ended. In some cases, electroconvulsive therapy (ECT) may be used. Overall, antipsychotic medications may be the most effective treatment for this disorder, although ongoing research is continuing on treatments. Psychoanalysis is also used. In patient care may be required if the person is a threat to him or herself or to someone else.

    The prognosis for those with schizoaffective disorder is somewhere between the two types of illnesses. It is better than for those with schizophrenia, but worse than for those with a mood disorder alone.
     




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    Schizoaffective disorder              Reply to this Comment
    I had beed diagnosed with schizoaffective disorder with D.I.D It has been over 4 years within the last year have I remembered some of it. I refused medication because of side effects and I had the desire to remember and search my thoughts as much as possible to remember why. So much appears to be delusional along with reality based occurances.I suppose at the time to seperate myself from these abuses I had inverted to an imaginary world. I am assuming that endorphins(?) may have also played a roll from the state of fear. I would then suspect that this may explain the D.I.D. and lost time episodes.



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